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Us 5, San Francisco 4, Mr. Lowell 2, Joanna 2, City Hall 2, Rehospitalization 2, Dos Eas 1, Embarcadero 1, Daas 1, Unit 1, Realtime 1, Ge 1, Cms 1, Laguna 1, As Well 1, Wong 1, Zarda 1, Roland Wong 1, Dos 1, Carla 1,
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  SFGTV    [untitled]  

    March 1, 2014
    3:30 - 4:00am PST  

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forward is really big. two things i want to acknowledge, not to say everything is great in san francisco because there is obviously problems but we are ahead of the game in comparison to other counties. one of the things is prior to becoming 65. they are going to notify them in advance. that's pretty important. i wanted to acknowledge that's a success. it's a positive step in the right direction and also at the statewide level something that is kind of really big. when i first found out about it, i thought wait, am i the only one that thinks it's a big thing? no. it is a big thing but that means you can get ihhs without becoming totally broke down to $2,000. that's big. i have been told
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by ihhs here that if people are current ly in the traditional medi-cal and they go over the asset limit, they will be reassessed back into expansion medi-cal. so, it's a kind of default way of eliminating a lot of that asset test barrier. except for the one critical area and this is area they need to constantly address and that is eligibility cliff that they mentioned before. that is the fact that when someone is 65, they still have to meet that $2,000 asset limit to continue to get medi-cal and support. that's really a problem. we are calling that the gift of the maji. you have to give away all your money. there is loopholes but there is a lot
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of positive things in it too. i want to thank you all for having this hearing and thanks to presenters for coming. thank you very much. >> thank you. any other public comment? all right. we will move to item no. 9. updates from the department of aging adult services. jason adamek. intake manager at dos. >> thank you for having me. when the speakers were talking about long-term services and support. our unit at the department of aging adult services is the central door for getting that information. i want to give everyone a friendly reminder about that service as well as some updates about have happened in the unit. our unit has
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expanded particularly arnl traditional care services. first i want to give everybody our number again. you can reach us by e-mail. dos eas at sf.org. we providing services to seniors and family members and other professionals as well. when case manager social workers need, when they need help trying to figure out how to serve a consumer or client, they call us as well. we are staffed with licensed clinical social workers with masters degree in social work. we are not your average everyday phone service. we do provide a robust type of assessment as
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well as intake. the in takes that we do are in home support services. adult protective services, home delivered meals for seniors, the community living fund which is a special case management fund to prevent institutionalization and settings like laguna hospital and other services we provide which is part of the information assistance umbrella which we have spoken to this council before is options counseling. this is a resource we have with the independent living center where we can help and assess and guide people in their long-term and short-term needs. developing action plans with individuals. it's not case management. it's really more consumer centered and it is something that probably more comes from the
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independent living center model that we've kind of gotten on board with in the last couple of years. it's a great service and it goes beyond just one phone call. it can be a long term relationship working with that consumer to achieve their goals around their long-term services and support. the new project we started since april and the fund has come through center of center for medicaid services is transitional care services for acute hospital discharges. so this is a very very large endeavor. we ge at this point about 300 referrals a month. we are trying to reach to 400-500 referrals a month. the one problem, every great program has a group of people left out. the funding we get is for people who are in medicare a or b. the
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people with medi-cal, medicare are legible. at this point cms isn't funding medi-cal only. it is for people who are medicare a and b and who aren't through managed hmo. what it provides is when people go to a hospital a lot of times people get rehospitalized because they don't understand their medication and plan and they don't have the transportation, ihh s, you make the it. there is a lot of things that can be put in place to prevent rehospitalization. it's a great program and we've started doing in takes since april. although this program has been in existence for a number of years, but because of the expansion of it
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because of cms funding we have been able to extend our program. something that we are starting to do this month on going which is a really big deal in my world is we are piloting rather than doing the in takes in house at dos, we are slowly rolling out our intake services for hospitals directly. the reason why we do transitional care service in takes is because most, ihss meals when those are in place, that helps to prevent rehospitalization. so in partnership with discharge planners we can be at their bedside really doing a full assessment for the services that people need. again starting with this medicare population, but doing
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realtime, the ihss referral and meal referral and other services, i feel is a big gap in the hospitals is discharge planners have very little time to spend with their patients and sometimes make referrals without having seeing the patients. this is a time to be at a place where people are most vulnerable in the hospital. our hope is to be in all the hospitals the next year. we are piloting this at san francisco general hospital and cpmc and because this is the largest amount of referrals for the population. hopefully over time we can expand this type of program. although not funded through cms but expand it to the medi-cal program especially general hospital who can
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expand this type of service for people on medi-cal only. 355-6700. our e-mail address is daas @ sf governor.org. >> thank you for that information. especially with that new pilot program. it sounds very intriguing to have more on-site attention to care. we get calls from independent living resource center from transition specialist at the hospital. there is so little time they have between patients to have programs set up. what i'm
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curious is for other organizations that possibly want to make sure that maybe their services are also known to your workers going out there, is there a way to contact them through number to know ahead of time to provide a more robust transition outline or outline more resources available to them. >> sure. absolutely. part of our expansion of our program is our extension of internal training for our staff. there is a supervisor here in the unit who is responsible for the training. so getting a really robust training for internal staff and doing more trainings for the whole community. so we are reviving and expanding trainings coming up. we have what is called the bethany center. it's longstanding training center but we want to expand that and do that more often and have
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that as a space to talk about these changes and have people from ilrc and there is many communities agencies out there doing great work that relates to this transitional services but having more robust training program for internal staff. >> that sounds great. this you very much. >> any other councilmember comments? all right. i have a question. i believe it was through das, a couple years ago you started a program for people in the community who paired with people who were transitioning out of long-term care facilities and they had a mentor to show them the basics of how to transition, how to use munis perhaps or where the grocery store is, those sorts of things. is that program snil -- still?
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>> i believe it's still in existence but i don't know. >> okay. it seems to me it's an important piece. >> sure. >> staff? >> my first action is i want to repeat your e-mail address. i would just say your e-mail address is: daas at sfgov.org. >> thank you. >> then my comment to the council is it's been a little while since we've had an update from das. i can see there is a lot of great things taking place at das and i
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might suggest that you may want to invite them on a regular basis. it's great to hear what you are doing. >> consider yourself reinvited and there are a lot. your agency does a lot for the disability and senior communities. we would like to keep abreast. >> great, thank you. >> is there any public comment on this item? seeing none. anything from the bridge line? no. all right. we'll move on to i believe item no. 7 is next now which is the discussion of a possible resolution on transportation platforms. i'm going to have the resolution read by councilmember zarda.
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>> resolution no. 2014-01. mayor's disability council resolution supporting the san francisco municipal transportation feasibility study for construction and redesign of accessible platforms for the light rail system including passenger amenities. whereas effective transportation is an important aspect of building communities that include people with disabilities and whereas municipal transportation agency in the past engaged in efforts to make the surface light rail system accessible to passengers with mobility disabilities and key stops. and whereas the existing surface light rail system has sizable gaps between
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accessible key stops in certain areas making travel for people with mobility disabilities more challenging and whereas, currently wait side platforms at accessible key stops lack lighting, signals for transit operators and passenger seating result in unequal facilities. now, therefore be it resolved that fees ability study about the construction additional key stops via way side platforms be made a priority for the san francisco municipal transportation agency and be it further resolved that the disability community will be actively involved in the process of exploring and choosing where new accessible stops might be placed and be it further resolved that way
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side platforms have accessible gaps at key stops and commercial districts particularly in outer neighborhoods and be it further resolved that further design be implemented at new way side platforms so they are well lit and provide weather protection, signaling devices and seating where such amenities are provided to all other passengers at the same stop location. >> thank you. now do we have any discussion on this matter, councilmembers? would you like to speak a little about this process? >> this process first started with councilmember wong bringing this issue up and i believe it was back in
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january i believe or even earlier where we started having an add hoc subcommittee meeting about this possible resolution during which time there was pretty much there was agreeable discussion for the need for more way side platforms in between these key stops especially when examining on a map on the outer lying neighborhoods just out of difficulty that presented between getting to work and between barriers when trying to go between blocks to be able to access these way side key stops and the difficulties presented. it seemed to be a pretty straight forward process in constructing the resolution and the benefits that can
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result from reducing these barriers and increase accessible transit for all. >> thank you. any other comments? from staff? anybody? >> through the chair. i would just add a context statement to councilmember zarda's recounting on the history of this item to tell people who maybe weren't at a previous meeting that the mta came and gave us a presentation on the history of the key stop system and how this was the first phase of bringing accessibility to our light rail system starting back in the 1990s and that there is a delicate balance between accessibility and neighborhood impacts and that is some of the history i think that has
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helped to inform the decisions about where the different way side platforms have been installed. we are talking of course really about just the retrofitting of existing light rail vehicle lines, because all of the new lines that have been constructed since the 1990s actually do have the fully accessible way side platforms. the two best examples of that would be the t line that serves our southern around eastern part of the city and the expansion of the f line down market and along embarcadero. new lines clearly are subject to the full accessibility requirements, but what we are talking about is trying to retrofit our existing lines. >> i would also like to add that crucial part to this resolution is that the disability community be parcels of the planning
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process. that residents know where the stops are needed much more so than a bureaucrat would know. okay. are there any other comments? we'll ask for public comment, then. yes, mr. lowell? >> thank you for bringing this forward. what took particularly long and why i'm asking a him and he's not here that he served on the multimodal accessible advisory committee and what has that advisory committee engaged in and were they a party in sponsoring this resolution. this is a procedural question as i have related to you, chip about people were upset and infuriated that there were not even existing way side
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stations and those that did have ramps sometimes did not work. much improvement needs to occur and possibilities in working with other advisory committees to roland wong who serves on both of them. >> thank you, mr. lowell. do we have any other public comment on this matter? okay. you want to move forward with this? >> yeah. >> with that in mind, i make a motion for the acceptance of this resolution. >> do we have a second? >> i second. >> i think we need to do this by a show of hands. all those in favor of adopting the resolution on transportation key stops, raise your hand.
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very well, thank you. thank you for your work. okay. then now we are continuing in reverse and go to item no. 5. >> thank you cochair. it's always good to be flexible. so i'm carla johnson. in my directors report today i wanted to focus on five different topics. staff changes and announcements at the mayor's office on disability. ada coordinator training, an update on mayor's office disability website. an announcement about disaster exercise that is coming up. a brief discussion about t and c taxis and some pedestrian safety as well. on the staff
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changes item there has been a lot going on at the mayor's office on disability. i wanted to start with a personal one to announce this week our city administrator naomi kelly appointed me as director at the mayor's office on disability. >> congratulations. [ applause ] >> i that happening -- thank you for that and it is an honor to be able to serve in this great community. and i have worked with council while i have been interim director. i want to compliment you for the good work that you have been doing. i think it's solid and i think the housing resolution is one that is really good examples of the solid work that you are doing around people with disabilities and policy development. and obviously the transportation resolution is another one. so i look
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forward to continuing to provide you my support and my service and thank you for the opportunity to work with you. we also have some staff vacancies that we are filling. it's been almost a year now since ken stein left us. if you recall it was valentines day 2013. we currently have a job announcement out through human resource network. it's for what we call an 1942 program administrator. and this job announcement is something i believe we sent your way by e-mail. thank you. that job announcement closes next week. we are hoping to be able to go through the selection process and testing and interviews fairly
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quickly and have somebody on board as soon as april. we also have another job position coming up. it's called a 9920 public service aid. the sad news about that, the reason why we have a vacancy is that our beloved mike alonzo who has been serving in that position for the last year has given us his notice that he's leaving us for new opportunities. we are hoping he won't be a stranger and we have just very much appreciated both his good humor and his good work and his, just in incredibly wonderful attitude and consistency around the office. so, we will miss him but we do wish him well on his next
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journey. along the lines of ada coordinator, i want to give you an announcement that deputy director joanna, has developed a training academy for our ada coordinate ors and these are people who work in the department. the structure is the mayor's on disability is the structural for coordinator and we operate as an umbrella over these departmental coordinators and we make sure their services and programs that are provided at all the other departments are fully accessible to people with disabilities. some of the ada coordinators we work closely are human service agency, department of public health, municipal transportation agency, department of public works,
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recreation and parks and library among others. one of the things that deputy director has done is she put together a full module training program. what's great about that is that an ada coordinator can choose to attend one or all four. the topics covered will start with an introduction, what is the a da and what is my role as an ada coordinator. as we move through different modules there is one on effective communication and making sure we are providing all of our services in the appropriate language and formats so they are accessible to all and then she'll move on to a briefing on architectural access. one of the issues that comes up often is what we call the maintenance of existing accessible features and that can be something as simple as keeping chairs and desks out
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of the corridor so people can pass and making sure that power door operators and -- elevators are still working and the last motion to -- module for making request for accommodations. i want to extend an invitation to the council if you would like to attend these trainings you are more than welcome to join us. training is one of the areas that our office shines. it's one of the things that joanna is wonderful at and she also really enjoys it and i know she would appreciate your input and feedback in that as well. >> may i interrupt for a second? do you have a schedule of those trainings and could we be e-mailed those dates. >> i could, i can announce it
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briefly and make sure it's e-mailed. here it is. the first session will be on march 20th, the time is 2:00-4:00. the location is city hall room 421 and session one is titled the ada and you. the second session will be april 25th, same time, 2:00-4:00 p.m. room 421, city hall. access to information. session three may 23rd, 2014. same time, same place, called access to buildings and facilities. and i just got a question from my staff asking if the training is open to the public, and i would say potentially yes, but first come because we need to make
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sure that our ada coordinators have the opportunity first. session for would be june 23, 2014, titled complaints and request for accommodations. again, same time, same location, room 421, city hall. and we will send that to you by e-mail. >> carla, i have one question as well. during the trainings, i was curious if there ever needed to be covered a fourth module when it comes to complaints and request. when it comes to communicating or working with people with disabilities and making sure the communication is effective and understanding between both parties especially when it comes to local government officials. i know there was an issue that